William David Larson, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

350 South Crag Rd.
Panama City, FL 32407-7013

Phone

(850) 235-5218

NPI assigned

Nov 4, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1952555922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SOUTH CRAG RD.",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32407",
            "telephone_number": "850-235-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SOUTH CRAG RD.",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324077013",
            "telephone_number": "850-235-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Laptsevich, APRN
• Leslie Sjahn Large, MS CCC-SLP
• Ashlie Larimore
• Sarah Nicole Larkin, APRN
• Larry T. Wong, D.O., P.a.
• Michelle Camille Lasater, LCSW
• Tymesha Lasley
• Elena Laufer, M.ED., C.R.C., C.V.E
• Jennifer Marie Laufman
• Laurelpharm LLC

• Independent Duty Corpsman in Panama City, FL
• Providers in Panama City, FL by specialty
• Independent Duty Corpsman in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.